Abstract
An increasing number of scholarly works have attempted to understand the reasons for poor rates of help-seeking for symptoms of mental health disorders all around the world. One particular body of work has focused on “mental health literacy” (MHL), defined as knowledge about mental health disorders that is associated with their recognition, management, and prevention. In this article, we report a nonsystematic review of studies on MHL, to give nonexpert academics, policymakers, and practitioners an understanding of the field. We find that studies consistently show that the general public have relatively poor recognition of the symptoms of mental health disorders and appear to emphasize self-help over traditional medical treatments. In addition, we find that there are age, gender, educational, urban−rural, and cross-cultural differences in MHL, which may differentially affect rates of help-seeking in different contexts. Implications and future directions for research are considered in conclusion.
Impact and Implications
Although the importance of individual and society health literacy has long been recognized, there has been less work on mental health literacy, which is the ability to recognize, manage, and prevent mental illness. In this article, we look at what the research says on this topic, particularly individual differences (e.g., age, gender, and education) in mental health literacy. We also examine the research on cultural and national differences and conclude with what implications this work has for application and future research.
References
2009). Cross-national comparison of Middle Eastern university students: Help-seeking behaviors, attitudes toward helping professionals, and cultural beliefs about mental health problems. Community Mental Health Journal, 45, 26–36. 10.1007/s10597-008-9175-2
(2004). Prevalence of mental disorders in Europe. Acta Psychiatrica Scandinavica, 109, 21–27. 10.1111/j.1600-0047.2004.00327.x
. (2007). Population level of unmet need for mental healthcare in Europe. The British Journal of Psychiatry, 190, 299–306. 10.1192/bjp.bp.106.022004
(2015). Mental health literacy: A cross-cultural approach to knowledge and beliefs about depression, schizophrenia, and generalized anxiety disorder. Frontiers in Psychology, 6,
(1272 . 10.3389/fpsyg.2015.012722005). Public attitudes toward psychiatric treatment: An international comparison. Social Psychiatry and Psychiatric Epidemiology, 40, 855–864. 10.1007/s00127-005-0958-x
(2006). Public beliefs about and attitudes towards people with mental illness: A review of population studies. Acta Psychia trica Scandinavica, 113, 163–179. 10.1111/j.1600-0447.2005.00699.x
(2009). Mental health literacy and attitude towards people with mental illness: A trend analysis based on population surveys in the eastern part of Germany. European Psychiatry, 24, 225–232. 10.1016/j.eurpsy.2008.06.010
(2005). Causal beliefs and attitudes toward people with schizophrenia. Trend analysis based on two population surveys in Germany. British Journal of Psychiatry, 186, 331–334. 10.1192/bjp.186.4.331
(2010). Attitudes towards people with mental disorders: The psychometric characteristics of a Finnish questionnaire. Social Psychiatry and Psychiatric Epidemiology, 45, 265–273. 10.1007/s00127-009-0064-y
(1998). Determinants of help-seeking behavior of families of schizophrenic patients attending a teaching hospital in India. International Journal of Social Psychiatry, 44, 199–214. 10.1177/002076409804400306
(2006). Stigma about depression and its impact on help-seeking intentions. Australian and New Zealand Journal of Psychiatry, 40, 51–54. 10.1080/j.1440-1614.2006.01741.x
(2002). Cultural, psychological, and demographic correlates of willingness to use psychological services among East Asian immigrants. Journal of Nervous and Mental Disease, 190, 32–39. 10.1097/00005053-200201000-00008
(2011). Gender differences in the knowledge, attitude and practice towards mental health illness in a rapidly developing Arab society. International Journal of Social Psychiatry, 57, 480–486. 10.1177/0020764010374415
(1999). Help-seeking preference of college students in urban China after the implementation of the “open-door” policy. International Journal of Social Psychiatry, 45, 104–116. 10.1177/002076409904500203
(1999).
(The image of mental illness in Switzerland . In J. GuimonW. FischerN. Sartorius (Eds.), The image of madness: The public facing mental illness and psychiatric treatment (pp. 29–37). Basel, Switzerland: Karger. 10.1159/0000626831998). Research notes on social order and subjectivity: Individuals’ experience of susto and fallen fontanelle in a rural community in central Mexico. Culture, Medicine and Psychiatry, 22, 203–230. 10.1023/A:1005365004836
(2000). Mental health literacy in Singapore: A comparative survey of psychiatrists and primary health professionals. Annals of the Academy of Medicine, Singapore, 29, 467–473.
(1997). How are psychotic symptoms perceived? A comparison between patients, relatives and the general public. Australian and New Zealand Journal of Psychiatry, 31, 756–761. 10.3109/00048679709062691
(2006). Untreated illness and outcome of psychosis. The British Journal of Psychiatry, 189, 235–240. 10.1192/bjp.bp.105.014068
(2010). Barriers to treatment seeking for anxiety disorders: Initial data on the role of mental health literacy. Depression and Anxiety, 27, 63–71. 10.1002/da.20620
(2006). Influence of gender on mental health literacy in young Australians. Australian and New Zealand Journal of Psychiatry, 40, 790–796. 10.1080/j.1440-1614.2006.01885.x
(2000). Stigmatisation of people with mental illnesses. The British Journal of Psychiatry, 177, 4–7. 10.1192/bjp.177.1.4
(2007). Economic costs of minor depression: A population-based study. Acta Psychiatrica Scandinavica, 115, 229–236. 10.1111/j.1600-0447.2006.00851.x
(2008). Public conceptions of schizophrenia in urban Brazil: Symptom identification and causal attributions. Social Psychiatry and Psychiatric Epidemiology, 43, 792–799. 10.1007/s00127-008-0372-7
(2004). Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Journal of the American Medical Association, 291, 2581–2590. 10.1001/jama.291.21.2581
. (1997). Cultural differences in illness schema: An analysis of Filipino and American illness attributions. Journal of Cross-Cultural Psychology, 28, 252–265. 10.1177/0022022197283003
(2005). In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies? Journal of Adolescence, 28, 573–587. 10.1016/j.adolescence.2004.11.001
(2010). Sri Lankan doctors’ and medical undergraduates’ attitudes towards mental illness. Social Psychiatry and Psychiatric Epidemiology, 45, 733–739. 10.1007/s00127-009-0113-6
(1994). Explaining health and illness: Lay perceptions on current and future health, the causes of illness, and the nature of recovery. Social Science and Medicine, 39, 715–725. 10.1016/0277-9536(94)90026-4
(2011). Psychiatric literacy and personality disorders. Psychiatry Research, 189, 110–114. 10.1016/j.psychres.2011.02.024
(1999). Cross-cultural differences in explanations for health and illness: A British and Ugandan comparison. Mental Health, Religion and Culture, 2, 121–134. 10.1080/13674679908406341
(2012). Schizophrenia literacy: The effect of direct experience with the illness. Psychiatry Research, 198, 18–23. 10.1016/j.psychres.2011.12.025
(2003). A comparison of lay-beliefs about autism and obsessive-compulsive disorder. International Journal of Social Psychiatry, 49, 287–307. 10.1177/0020764003494006
(2012). Psychiatric literacy and the conduct disorders. Research in Developmental Disabilities, 33, 24–31. 10.1016/j.ridd.2011.08.001
(2004). Lay theories of schizophrenia. A cross-cultural comparison of British and Hong Kong Chinese attitudes, attributions and beliefs. Social Psychiatry and Psychiatric Epidemiology, 39, 543–552.
(2009). “How to spot a psychopath”. Lay theories of psychopathy. Social Psychiatry and Psychiatric Epidemiology, 44, 464–472. 10.1007/s00127-008-0459-1
(2016). Knowledge of mental illnesses: Two studies using a new test. Psychiatry Research, 244, 363–369. 10.1016/j.psychres.2016.06.058
(2014). Mental health literacy in non-western countries: A review of the recent literature. Mental Health Review Journal, 19, 84–98. 10.1108/MHRJ-01-2013-0004
(2007). Young people’s recognition and understanding of schizophrenia: A cross-cultural study of young people from Britain and Nigeria. International Journal of Social Psychiatry, 53, 430–446. 10.1177/0020764007078348
(2011). Non-experts’ theories of three major personality disorders. Personality and Mental Health, 5, 43–56. 10.1002/pmh.150
(2015). Mental health literacy and borderline personality disorder (BPD): What do the public “make” of those with BPD? Social Psychiatry and Psychiatric Epidemiology, 50, 317–324. 10.1007/s00127-014-0936-7
(1994). Cross-cultural beliefs about “depression”. International Journal of Social Psychiatry, 40, 106–123. 10.1177/002076409404000203
(2008). A cross-cultural comparison of British and Pakistani medical students’ understanding of schizophrenia. Psychiatry Research, 159, 308–319. 10.1016/j.psychres.2007.08.019
(1988). Lay theories of schizophrenia. International Journal of Social Psychiatry, 34, 212–220. 10.1177/002076408803400307
(2016). Beliefs about the causes and cures of depression. International Journal of Social Psychiatry, 62, 415–424. 10.1177/0020764016644279
(2007). A cross-cultural comparison of British and Chinese beliefs about the causes, behaviour manifestations and treatment of schizophrenia. Psychiatry Research, 151, 123–138. 10.1016/j.psychres.2006.03.023
(2002). Public attitudes toward people with mental illness in six German cities: Results of a public survey under special consideration of schizophrenia. European Archives of Psychiatry and Clinical Neuroscience, 252, 278–287. 10.1007/s00406-002-0393-2
(2010). Epidemiological survey of knowledge, attitudes, and health literacy concerning mental illness in a national community sample: A global burden. Journal of Primary Care and Community Health, 1, 111–118. 10.1177/2150131910372970
(2004). A focus group exploration of the impact of izzat, shame, subordination, and entrapment on mental health and service use in South Asian women living in Derby. Mental Health, Religion and Culture, 7, 109–130. 10.1080/13674670310001602418
(2005). Changes in mental health literacy about depression: South Australia, 1998 to 2004. The Medical Journal of Australia, 183, 134–137.
(2001). Mental health literacy: An impediment to the optimum treatment of major depression in the community. Journal of Affective Disorders, 64, 277–284. 10.1016/S0165-0327(00)00227-5
(2017). Influence of age and gender on mental health literacy of anxiety disorders. Psychiatry Research, 251, 8–13. 10.1016/j.psychres.2017.01.089
(2010). Patients’ beliefs about the cause of their depression. Journal of Affective Disorders, 124, 54–59. 10.1016/j.jad.2009.10.032
(1989). Culture, health, and illness. Bristol, United Kingdom: Wright.
(1999). Recognition of depression and anxiety in primary care: Patients’ attributional style is important factor. British Medical Journal, 318,
(1558 . 10.1136/bmj.318.7197.15581973). Health and illness. London, United Kingdom: Academic Press.
(2011). Depression in the perinatal period: Awareness, attitudes and knowledge in the Australian population. Australian and New Zealand Journal of Psychiatry, 45, 223–231. 10.3109/00048674.2010.547842
(1983). Health care and traditional medicine in China, 1800–1982. London, United Kingdom: Routledge.
(2012). What to do about depression? Self-help recommendations of the public. International Journal of Social Psychiatry, 58, 343–349. 10.1177/0020764010397262
(2004). Views of health in the lay sector: A compilation and review of how individuals think about health. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 8, 395–422. 10.1177/1363459304045696
(2003). Community attitudes toward and knowledge of mental illness in South Africa. Social Psychiatry and Psychiatric Epidemiology, 38, 715–719. 10.1007/s00127-003-0695-3
(2000). Mental health literacy. Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry, 177, 396–401. 10.1192/bjp.177.5.396
(2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67, 231–243. 10.1037/a0025957
(2015). Why do we need the concept of “Mental Health Literacy”. Health Communication, 30, 1166–1168. 10.1080/10410236.2015.1037423
(2000).
(Public knowledge and attitudes to mental disorders: A limiting factor in the optimal use of treatment services . In G. AndrewsS. Henderson (Eds.), Unmet need in psychiatry: Problems, resources, responses (pp. 399–414). Cambridge, United Kingdom: Cambridge University Press. 10.1017/CBO9780511543562.0322006). Changes in depression awareness and attitudes in Australia: The impact of beyondblue: The national depression initiative. Australian and New Zealand Journal of Psychiatry, 40, 42–46. 10.1080/j.1440-1614.2006.01739.x
(1997). “Mental health literacy”: A survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia, 166, 182–186.
(2005). Public beliefs about treatment and outcome of mental disorders: A comparison of Australia and Japan. BMC Medicine, 3, 12–28. 10.1186/1741-7015-3-12
(2006). Adolescents’ responses to peers with depression or conduct disorder. Australian and New Zealand Journal of Psychiatry, 40, 63–66. 10.1080/j.1440-1614.2006.01744.x
(2009). Attitudes to people with mental disorders: A mental health literacy survey in a rural area of Maharashtra, India. Social Psychiatry and Psychiatric Epidemiology, 44, 1087–1096. 10.1007/s00127-009-0031-7
(2005). Prevalence, severity, and comorbidity of 12-month DSM–IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627. 10.1001/archpsyc.62.6.617
(2007). Chinese-Australians’ knowledge of depression and schizophrenia in the context of their under-utilization of mental health care: An analysis of labelling. International Journal of Social Psychiatry, 53, 464–479. 10.1177/0020764007078357
(1994). Amok. The British Journal of Psychiatry, 165, 685–689. 10.1192/bjp.165.5.685
(2014). Psychiatric literacy: Lay beliefs of obsessive–compulsive personality disorder. Counselling Psychology Quarterly, 27, 277–289. 10.1080/09515070.2014.897598
(2009). Mental health literacy of autism spectrum disorders in the Japanese general population. Social Psychiatry and Psychiatric Epidemiology, 44, 651–657. 10.1007/s00127-008-0485-z
(2000). Public attitudes towards the mentally ill: A cross-cultural study between Bali and Tokyo. Psychiatry and Clinical Neurosciences, 54, 547–552. 10.1046/j.1440-1819.2000.00751.x
(2016). Mental health literacy: Past, present and future. The Canadian Journal of Psychiatry, 61, 154–158. 10.1177/0706743715616609
(2007). Stigma towards people with mental illness in developing countries in Asia. International Review of Psychiatry, 19, 157–178. 10.1080/09540260701278903
(2017). Effect of directness of exposure and trauma type on mental health literacy of PTSD. Journal of Mental Health, 26, 257–263. 10.1080/09638237.2016.1276531
(2010). Perceived barriers to mental health treatment in metropolitan China. Psychiatric Services, 61, 1260–1262. 10.1176/ps.2010.61.12.1260
(2011). Public knowledge, beliefs and attitudes towards patients with schizophrenia: Buenos Aires. Social Psychiatry and Psychiatric Epidemiology, 46, 281–290. 10.1007/s00127-010-0196-0
(2010). Using a vignette-based questionnaire to explore adolescents’ understanding of mental health issues. Clinical Child Psychology and Psychiatry, 15, 231–250. 10.1177/1359104509340234
(1999). Mental health issues for Asian Americans. Psychiatric Services, 50, 774–780. 10.1176/ps.50.6.774
(2018). Interventions to promote mental health literacy in university students and their clinical education. Health Professions Education, 4, 161–175. 10.1016/j.hpe.2017.08.001
(2009). Dementia literacy. Alzheimer’s and Dementia, 5, 43–49.
(2016). Mental health literacy in Hong Kong. International Journal of Social Psychiatry, 62, 505–511. 10.1177/0020764016651291
(2011). Gender differences in perceptions of the severity and prevalence of eating disorders. Early Intervention in Psychiatry, 5, 41–49. 10.1111/j.1751-7893.2010.00257.x
(2007). Perceptions of mental illness and psychotherapy in a sample of Asian, Hispanic, and White American college students. Journal of Psychiatry Psychology and Mental Health, 1, 1–13.
(2001). Mental health literacy in developing countries. The British Journal of Psychiatry, 179,
(75 . 10.1192/bjp.179.1.75-a1997). The stigma of mental illness in Asian cultures. Australian and New Zealand Journal of Psychiatry, 31, 382–390. 10.3109/00048679709073848
(2010). How etiological explanations for depression impact perceptions of stigma, treatment effectiveness, and controllability of depression. Journal of Mental Health, 19, 52–61. 10.3109/09638230903469095
(1961). Popular conceptions of mental health. New York, NY: Holt, Rinehart, Winstone.
(2014). Measuring mental health literacy—A review of scale-based measures. Journal of Mental Health, 23, 197–204. 10.3109/09638237.2014.910646
(2010). Mental health literacy among young people in a small U.S. town: Recognition of disorders and hypothetical helping responses. Early Intervention in Psychiatry, 4, 291–298. 10.1111/j.1751-7893.2010.00196.x
(2005). Public opinions and beliefs about the treatment of depression in urban Turkey. Social Psychiatry and Psychiatric Epidemiology, 40, 869–876. 10.1007/s00127-005-0985-x
(2018). Beliefs about the causes of and treatments for depression and bipolar disorder among South Koreans. Psychiatry Research, 260, 219–226. 10.1016/j.psychres.2017.11.050
(2001). Depression in the planet’s largest ethnic group: The Chinese. The American Journal of Psychiatry, 158, 857–864. 10.1176/appi.ajp.158.6.857
(2001). Mental health literacy of general health practitioners: A comparative study in Singapore and Australia. Australasian Psychiatry, 9, 55–59. 10.1046/j.1440-1665.2001.00304.x
(2001). Depression in developing countries: Lessons from Zimbabwe. British Medical Journal, 322, 482–484. 10.1136/bmj.322.7284.482
(1990, June). Claiming more than we know: The Overclaiming Questionnaire. Paper presented at the meeting of the Canadian Psychological Association, Ottawa, Ontario, Canada.
(2011). Optimizing mental health services in low-income and middle-income countries. Current Opinion in Psychiatry, 24, 318–323. 10.1097/YCO.0b013e3283477afb
(2004). Schizophrenia and the cultural epidemiology of stigma in Bangalore, India. Journal of Nervous and Mental Disease, 192, 734–744. 10.1097/01.nmd.0000144692.24993.1b
(2004). Models of madness: Psychological, social, and biological approaches to schizophrenia. London, United Kingdom: Bruner-Routledge. 10.4324/9780203420393
(2005). Mental disorders—Who and what might help? Help-seeking and treatment preferences of the lay public. Social Psychiatry and Psychiatric Epidemiology, 40, 167–174. 10.1007/s00127-005-0863-8
(2007). 250 labels used to stigmatise people with mental illness. BMC Health Services Research, 7,
(97 . 10.1186/1472-6963-7-972011). Knowledge and attitudes as predictors of intentions to seek help for and disclose a mental illness. Psychiatric Services, 62, 675–678. 10.1176/ps.62.6.pss6206_0675
(2010). Public perception of mental health in Iraq. International Journal of Mental Health Systems, 4, 26–36. 10.1186/1752-4458-4-26
(2013). Identifying depression and schizophrenia using vignettes: A methodological note. Psychiatry Research, 210, 357–362. 10.1016/j.psychres.2013.05.004
(2004). The Second National Public Survey, ‘Well? What do you think?’ Edinburgh, United Kingdom: Scottish Executive.
. (2000). A cross-cultural study of mental health beliefs and attitudes towards seeking professional help. Social Psychiatry and Psychiatric Epidemiology, 35, 326–334. 10.1007/s001270050246
(2002). A comparison of Russian and British attitudes towards mental health problems in the community. International Journal of Social Psychiatry, 48, 266–278. 10.1177/002076402128783307
(2004). Factors contributing to the utilization of mental health services in a rural setting. Psychological Reports, 95, 435–442. 10.2466/pr0.95.2.435-442
(2007). The economic burden of depression in Sweden from 1997 to 2005. European Psychiatry, 22, 146–152. 10.1016/j.eurpsy.2006.10.006
(2006). Prevalence and incidence studies of anxiety disorders: A systematic review of the literature. The Canadian Journal of Psychiatry, 51, 100–113. 10.1177/070674370605100206
(2011). Factors influencing attitudes towards seeking professional psychological help among South Asian students in Britain. Mental Health, Religion and Culture, 14, 613–623. 10.1080/13674676.2010.494176
(2010). Knowledge of and stigma associated with mental disorders in a South African community sample. Journal of Nervous and Mental Disease, 198, 742–747. 10.1097/NMD.0b013e3181f4b2d7
(2018). Mental health literacy as theory. Journal of Mental Health, 13, 1–5. 10.1080/09638237.2018.1437613
(2003). Counselling the cultural diverse: Theory and practice (4th ed.). New York, NY: Wiley.
(2005). A study investigating mental health literacy in Pakistan. Journal of Mental Health, 14, 167–181. 10.1080/09638230500085307
(2009). Lay perceptions of current and future health, the causes of illness, and the nature of recovery: Explaining health and illness in Malaysia. British Journal of Health Psychology, 14, 519–540. 10.1348/135910708X370781
(2011). Preliminary examination of the psychometric properties of the Psychiatric Scepticism Scale. Scandinavian Journal of Psychology, 52, 399–403. 10.1111/j.1467-9450.2011.00881.x
(2008). Beliefs about schizophrenia and its treatment in Kota Kinabalu, Malaysia. International Journal of Social Psychology, 54, 164–179. 10.1177/0020764007084665
(2010). Public knowledge and beliefs about depression among urban and rural Malays in Malaysia. International Journal of Social Psychiatry, 56, 480–496. 10.1177/0020764008101639
(2011). Examining mental health literacy and its correlates using the overclaiming technique. British Journal of Psychology, 102, 662–675. 10.1111/j.2044-8295.2011.02036.x
(2011). The recognition of mental health disorders and its association with psychiatric scepticism, knowledge of psychiatry, and the Big Five personality factors: An investigation using the overclaiming technique. Social Psychiatry and Psychiatric Epidemiology, 46, 181–189. 10.1007/s00127-010-0193-3
(2012). Using more than 10% of our brains: Examining belief in science-related myths from an individual differences perspective. Learning and Individual Differences, 22, 404–408. 10.1016/j.lindif.2011.12.005
(2010). Are attitudes towards mental health help-seeking associated with service use? Results from the European Study of Epidemiology of Mental Disorders. Social Psychiatry and Psychiatric Epidemiology, 45, 153–163. 10.1007/s00127-009-0050-4
. (2014). Mental health literacy of depression and postnatal depression. Open Journal of Depression, 3, 101–111. 10.4236/ojd.2014.33014
(2018). A review of mental health literacy in Singapore. Social Work Health Care, 57, 27–47.
(2018). Comparing physical and mental health literacy. Journal of Mental Health. Advance online publication. 10.1080/09638237.2018.1466050
(2007). Depression literacy in Alberta: Findings from a general population sample. The Canadian Journal of Psychiatry, 52, 442–449. 10.1177/070674370705200706
(2015). Mental health literacy measures evaluating knowledge, attitudes and help-seeking: A scoping review. BMC Psychiatry, 15, 291. 10.1186/s12888-015-0681-9
(1994). Children’s attitudes toward the mentally ill: An eight-year longitudinal follow-up. Psychological Reports, 74, 51–56. 10.2466/pr0.1994.74.1.51
(2017). Helping older adults to help themselves: The role of mental health literacy in family members. Aging and Mental Health, 21, 1129–1137. 10.1080/13607863.2016.1206513
(2017). Comparing mental health literacy and physical health literacy: An exploratory study. Journal of Mental Health, 26, 449–456. 10.1080/09638237.2017.1294743
(2011). Psychiatric literacy and the personality disorders. European Psychiatry, 26, 1947. 10.1016/S0924-9338(11)73650-1
(2017). Comparing the mental health literacy of Chinese people in Australia, China, Hong Kong and Taiwan: Implications for mental health promotion. Psychiatry Research, 256, 258–266. 10.1016/j.psychres.2017.06.032
(2010). Depression literacy among Australians of Chinese-speaking background in Melbourne, Australia. BMC Psychiatry, 10,
(7 . 10.1186/1471-244X-10-72000). Cross-national comparisons of the prevalences and correlates of mental disorders. Bulletin of the World Health Organization, 78, 413–426.
. (The World Mental Health Survey Initiative. Retrieved from http://www.hcp.med.harvard.edu/wmh/index.php
. (n.d.).2007). What’s in a name? Is accurate recognition and labelling of mental disorders by young people associated with better help-seeking and treatment preferences? Social Psychiatry and Psychiatric Epidemiology, 42, 244–250. 10.1007/s00127-006-0156-x
(2004). Illness beliefs of depressed Chinese American patients in primary care. Journal of Nervous and Mental Disease, 192, 324–327. 10.1097/01.nmd.0000120892.96624.00
(2006). Utilization of health services in relation to mental health problems in adolescents: A population based survey. BMC Public Health, 6,
(34 . 10.1186/1471-2458-6-34